Persistence of a pacemaker lead-like "ghost" 6 months after lead extraction.
Azin AlizadehaslNegar Sarrafi RadLeili PourafkariMajid HaghjooPublished in: Echocardiography (Mount Kisco, N.Y.) (2018)
Residual fibrous structures, referred as "ghosts", are occasionally encountered following lead extraction. Though typically detected in patients with cardiac device infections, their prognostic and therapeutic implications remain speculative. We describe a 62-year-old gentleman with history of sick sinus syndrome who presented atrial fibrillation with rapid ventricular response. The patient had history of transvenous lead extraction following pacemaker pocket infection 6 months earlier. In echocardiography, an echo-dense tubular lead-like structure was seen that followed the route of a pacer lead from superior vena cava to right atrium and then passing through the tricuspid valve into right ventricle.
Keyphrases
- vena cava
- atrial fibrillation
- mitral valve
- left ventricular
- magnetic resonance
- aortic valve
- heart failure
- inferior vena cava
- catheter ablation
- pulmonary artery
- computed tomography
- case report
- magnetic resonance imaging
- coronary artery disease
- coronary artery
- venous thromboembolism
- left atrial appendage
- oral anticoagulants
- congenital heart disease
- pulmonary arterial hypertension
- diffusion weighted